NIDA STRENGTHENING WASHINGTON, DC FAMILIES GRANT

NIDA 加强华盛顿特区家庭补助金

• 批准号: 6936693
• 负责人: KAROL L. KUMPFER
• 金额: $ 2.37万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-03-01 至 2004-09-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6936693
• 关键词: clinical research; clinical trials; computational neuroscience; drug abuse education; drug abuse information system; drug abuse prevention; education evaluation /planning; family structure /dynamics; health care cost /financing; human subject; longitudinal human study; mathematical model; middle childhood (6-11); parent offspring interaction; racial /ethnic difference; social model; statistics /biometry; training

DESCRIPTION: (Applicant's Abstract) The goal of this five year research is to provide new knowledge on: 1) the causes of drug use and abuse in inner city African-American and White adolescents, and 2) the most cost-effective and cost-beneficial family-focused prevention interventions. The research aims of this randomized clinical trial involving over 800 at-risk Washington, D.C.-area families of 7 to 11 year olds in components of the 16 week Strengthening Families Program (SFP) are: 1) to test the differential efficacy of the three major components of SFP-parent training (PT), children's skills training (CT), and family skills training (FT) compared to a minimal contact control (MT) on precursors and substance use/abuse employing a 2 x 4 experimental design; 2) to estimate the cost-benefit and cost-effectiveness of the SFP components with 400 African American families and 400 White families; and 3) to empirically test several competing etiological and intervention theories of drug use/abuse underlying the intervention design by analyzing the survey research data from 1,600 12 to 19 year olds and the 800 intervention families using structural equation modeling, mediational analysis, hierarchical linear modeling, latent growth modeling, and transactional modeling (cross-lagged SEM, artificial intelligence, and neural network simulations) for gender, race, and other sub-groups. The rationale for the component design is that a major question exists concerning the efficacy of child-only interventions that group high-risk children together as well as the added benefit of working with the family together compared to parent-training only. Demonstrating the importance of involving parents and working with families would be very valuable information for prevention providers. Additional co-variate outcome analyses will be conducted to answer practical questions conceming the efficacy of the four interventions for different subgroups of clients. A strong process evaluation including a management information system (MIS) conducted by University of Maryland researchers wili document implementation process and provide feedback to improve implementation fidelity. Additional health services sub-aim questions will be addressed through analyses of recruitment, attrition, consumer satisfaction, participation variables, and client and trainer characteristics linked to outcomes. Seven nationally recognized consultants have agreed to support the culturally-specific program development, implementation, and data analyses.

描述：（申请人摘要） 这项为期五年的研究的目标是提供以下方面的新知识：1） 市中心非裔美国人和白色人使用和滥用药物的原因 2）最具成本效益和成本效益的 以家庭为重点的预防措施。 本研究的目的是 随机临床试验，涉及超过800例高危华盛顿，华盛顿特区-区域 7至11奥尔兹儿童的家庭， 家庭计划（SFP）是：1）测试的差异功效， 学校支援计划的三个主要部分-家长训练、儿童技能 培训（CT）和家庭技能培训（FT）相比， 采用2x 4的方法对前体和药物使用/滥用进行管制， 实验设计; 2）估计成本效益和成本效果 400个非裔美国人家庭和400个白色家庭 家庭;和3）实证测试几个竞争的病因和 作为干预设计基础的药物使用/滥用干预理论 通过分析1,600名12至19岁青少年的调查研究数据， 800个干预家庭使用结构方程模型，中介 分析，分层线性建模，潜在增长建模，以及 事务建模（交叉滞后SEM、人工智能和 神经网络模拟）用于性别、种族和其他子组。 的 组件设计的基本原理是存在一个主要问题 关于只针对儿童的干预措施的有效性， 孩子们在一起，以及与家人一起工作的额外好处 相比之下，只有家长培训。 展示了 让父母参与进来，与家庭一起工作， 为预防提供者提供信息。 其他协变量结局 将进行分析，以回答有关 四种干预措施对不同客户群的有效性。 一 强有力的过程评估，包括管理信息系统（MIS） 由马里兰州大学的研究人员进行， 处理并提供反馈，以提高实施的准确性。 额外 卫生服务次级目标问题将通过分析 招聘，自然减员，消费者满意度，参与变量， 与结果相关的客户和培训师特征。 7全国 公认的顾问已同意支持文化特定的 项目开发、实施和数据分析。

项目成果

Cultural sensitivity and adaptation in family-based prevention interventions.

• DOI: 10.1023/a:1019902902119
• 发表时间: 2002-09-01
• 期刊: Prevention science : the official journal of the Society for Prevention Research
• 作者: Kumpfer, Karol L;Alvarado, Rose;Bellamy, Nikki
• 通讯作者: Bellamy, Nikki